Submit a Maintenance Request – Paramark Real Estate

Resident Name*

Please enter full name

Email*

Property: Please Choose Appropriate Location From Drop Down Menu*

Phone Number

Have you or a household member experienced one of the following:*

Check all that apply.

Tested positive for Covid-19 in the past two weeks.

Been exposed to anyone that has tested positive for Covid-19 in the past two weeks.

Awaiting test results for a Covid-19 test.

Have any current symptoms related to covid 19, such as fever, headaches, temperature, cough, shortness of breath, etc.

None of the above.

Unit Number

Date

Permission to enter?

Yes

Do you want to be notified once the situation has been addressed?

Yes

Issue / problem